No

1
2
3
4
5
6
7
8
9
10
11
12

Antibiotik
Etamox 500
(amoxicilin)
Topcilin (amoxicilin)
Floxifar
(Ciprofloxacin)
Grafazol
(metronidazol)
Phenobiotic
(Tiamphenicol)
Dionicol (Tiamfenicol)
Sultrimmix DS
(Cotrim)
Bactroprim (Cotrim)
Taxim (Cefixime)
Zidalev (Levofloxacin)
Milorin (Clindamicin)
Lostacef (Cefadroxil)

Sediaan
Caps
Caps
Caps
Caps
Caps
Caps
Tab
Tab
Caps
Tab
Caps
Caps

No
.
1
2
3
4
5
6
7
8

Analgetik Antipiretik
Farsipen (PCT, Ibuprofen,
Caffein)
Fasidol forte (PCT)
Sanmol (PCT)
Itamol (PCT)
Fenaren ( Na diclovenak)
Mefinal (As.Mefenamat)
Proris (Ibuprofen)
Salfenal (Ibuprofen 400)

Sediaa
n
Caps
Tab
Tab
Tab
Tab
Tab
Tab/sy
r
Tab

No
.
1
2

Kortikosteroid

Sediaan

Metcor 8 (MP 8mg)

Mufadexon (Dexa 0,5)

Tab
Tab

No
.
1

Antihistamin

Sediaan

CTM

Tab

No
.
1
2

Antiinfluenza

Sediaan

Demacolin
(PCT,Pseudoefedri,CTM)
Fludane
(PCT,CTM,Phenilpro)

Tab
Tab

Keterangan

Dw: 2x500mg, tidak boleh usia < 18

th
Dw: 3x500mg 10 hari, An:
50mg/kg/hari (3ds)
Dw : 4x500mg doc tifoid

Dw: 2x2tab, An:1tab/10kgBB/hari

Dw : 2x500mg
Dw : 3x300mg
Dw : 2x500mg

400 mg
650 mg

50mg

400mg

Fludane syr 3x2cth (6-12th)

No
1
2
3
4
5

Antiinfluenza + Antitusif
Alpara
(PCT,Phenilpro,CTM,DMP)
ColdMix
(PCT,GG,Phenilpro,DMP)
Lodecon
(PCT,GG,CTM.Phenil)
Paraflu
(PCT,GG,Phenilpro,CTM)
Pancolin D (CTM,
Efedrin,DMP)

Sediaan
Tab
Tab
Tab
Tab
syr

No
1
2
3

Mukolitik
Broxal (ambroxol)
Mosapec (ambroxol)
Roverton (ambroxol)

Sediaan
Tab
Tab
Tab

No
1
2
3
4

AntiHipertensi
Calcianta (Nifedipine 5mg)
Captopril 25 mg
Hexavask (Amlodipine
10mg)
Dilbres (Diltiazem 30mg)

Sediaan
Tab
Tab
Tab
Tab

No
1
2
3
4

Anti Gastritis
Berlosid (antasid)
Hufadine (ranitidine)
Lokev (omeperazole)
Tamezol (omeperazole)

Sediaan
Syr
Tab
Tab
Tab

No
1
2
3
4

OHO
Diabit (Metformin)
Glikos (Metformin)
Glunor XR (Metformin)
Libronil (Glibenclamid)

Sediaan
Tab
Tab
Tab
Tab

No
1
2
3
4

Anti Asma
Teosal (Salbutamol +
Teofilin)
Ventolin (Salbutamol)
Salbron (Salbutamol)
Ventolin Rotahaler

Sediaan
Tab
Tab
Tab
Spray

No
1

Anti Hiperuricemi
Alodon (Allopurinol 300)

Sediaan
Tab

Coldmix syr 3x1 cth (6-12th)

a.c
p.c

No
1

Anti Hiperlipidemia
Hichlofen (Fenofibrate)

Sediaan
Tab

No
1

Laxative / Pencahar
Prolaxan (Bisacodyl)

Sediaan
Supp

No
1

Antidiare
Dialet

Sediaan
Tab

No
1
2

Anti Viral
Poviral (Aciclovir 400)
Acivar (Aciclovir 400)

Sediaan
Tab
Tab

No
1

Anti Vomitus
Dometic (Domperidone)

Sediaan
Tab

No
1
2
3
4
5
6
7
8
9

Vitamin
Carniq (Suplemen As.Amino)
Licobion (Vit B komplek)
Librozym ( Diastase +
Pancreatin)
Rovital (Vit A-Z)
Synbio (Lactobacillus)
Neuromec (Metampiron, B
Comp)
Becom-C ( B.comp, vit C,
Nicotinamide, Calcium)
Neuroboran (B.comp,
As.Nicotinamid,
As.glutamat)

Sediaan
Tab
Tab
Tab
Tab
Sacchet
Tab
Tab
Tab
Tab

No
1
2
3
4

Salep
Zolagel Diaper ( Miconazol,
Zinc oxide)
Fleximuv (gel analgetik)
Berloson N cream
(betametason, neomicin)
Berlicort (Hidrocortison
Licogenta (Gentamicin)
Licovir (Asiclovir)

5
6
7

Sehari 4 x dewasa 1 tab,

anak2 > 5 th 1/2tab
anak2 < 5 th 6mg/
kgBB / hari

Dw : 5x800mg 7 hari,
An:20mg/kgBB/x

5-9 kg
0-1th
Amox 500
PCT
Cotrim
Chlorampe
nicol
Metronidaz
ol
CTM
dexa
GG

15-20 kg
3-6 th

3
2
0,5
6

10-14
kg
1-3 th
4
3
1,5
8

1,5

1
2
1

2
3
3

3
4
4

5-6
4
2,5
12